Individual provider Active NPI

Susan Lynne Hartnett, MSW LCSW ACSW

  • Clinical Social Worker
  • Warwick, RI
National Provider Identifier
1639371768
Registry record updated Feb 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW01982 Issued in RI
Practice address
2905 Post Rd
Suite 7 Kraemer BLDG
Warwick, RI 02886-3176
Phone
(401) 595-6170
Fax
(401) 789-3059
NPI assigned
Jun 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 058564 RI
Mental Health Counselor 101YM0800X CSW01156 RI
Mental Health Counselor 101YM0800X 436 RI
Clinical Social Worker 1041C0700X ISW01982 RI Primary

Addresses

Primary practice location

2905 Post Rd
Suite 7 Kraemer BLDG
Warwick, RI 02886-3176

Mailing address

3521 Post Rd # B
Wakefield, RI 02879-7573
Phone (401) 789-3059

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
436RIMDMental Health Counselor
CSW01156RIMDMental Health Counselor
058564RIMDSchool Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486512000000",
    "number": "1639371768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3521 POST RD # B",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028797573",
            "telephone_number": "401-789-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 POST RD",
            "address_2": "SUITE 7 KRAEMER BLDG",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028863176",
            "telephone_number": "401-595-6170",
            "fax_number": "401-789-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTNETT",
        "first_name": "SUSAN",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "MSW LCSW ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2017-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "RI",
            "license": "058564",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "CSW01156",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "436",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW01982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.